Steven Donald Clark, PT | |
2220 Mormon Trek Blvd, Iowa City, IA 52246-4435 | |
(319) 366-1886 | |
(319) 366-1611 |
Full Name | Steven Donald Clark |
---|---|
Gender | Male |
Speciality | Physical Therapy |
Experience | 26 Years |
Location | 2220 Mormon Trek Blvd, Iowa City, Iowa |
Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1023114576 | NPI | - | NPPES |
0665430 | Medicaid | IA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
2251X0800X | Physical Therapist - Orthopedic | 02886 (Iowa) | Primary |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Kepros Physical Therapy And Performance Pc | 7719105063 | 16 |
Provider Name | Kepros Physical Therapy And Performance Pc |
---|---|
Provider Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice |
Provider Identifiers | NPI Number: 1457779019 PECOS PAC ID: 7719105063 Enrollment ID: O20160406001928 |
Mailing Address | Practice Location Address |
---|---|
Steven Donald Clark, PT 2220 Mormon Trek Blvd, Iowa City, IA 52246-4435 Ph: (319) 366-1886 | Steven Donald Clark, PT 2220 Mormon Trek Blvd, Iowa City, IA 52246-4435 Ph: (319) 366-1886 |
Shelley Renee Hautekeete Mockler, PT, ATP Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 100 Hawkins Dr, Center For Disabilities And Development, Iowa City, IA 52242 Phone: 319-356-1179 | |
Andrew James Phillips, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 200 Hawkins Dr, Iowa City, IA 52242 Phone: 319-330-9025 | |
Kim Eppen, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 200 Hawkins Dr, Iowa City, IA 52242 Phone: 319-356-2663 | |
Wanda Evans, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 2401 Towncrest Dr, Iowa City, IA 52240 Phone: 319-354-2429 Fax: 319-354-6100 | |
Ms. Shannon Louise Miers, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: Ui Sports Medicine (iosmr), 2701 Prairie Meadow Drive, Iowa City, IA 52242 Phone: 319-384-7070 Fax: 319-467-8247 | |
Mr. David K Carmody, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 601 Hwy 6 West, Iowa City, IA 52246 Phone: 319-339-7127 Fax: 319-887-4955 |